Whalio Doctors

NPI 1013207356

Meta, INC.

Organisation Psychologist Corrales, NM

Practice location

Address
4813 Corrales Road, Corrales, NM 87048
Phone
(505) 898-5662
Mailing address
PO Box 531, Corrales, NM 87048-0531

Authorised official

Name
Wayne Rowan Maes
Title
President
Phone
(505) 898-5662

Registered specialties (2)

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 266 (NM)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 266 (NM)

Registry record

NPI
1013207356
Entity type
Organization
NPI issued
7 Apr 2011
Record last updated
7 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.